Nurse Practitioner Hourly Pay in West Fargo, ND: $59.49 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in West Fargo, ND runs $59.49 at the median for 2026 — annualizing to $123,745 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against West Fargo's regional price level (BEA RPP 92.0, 8% below national), each hour of work buys what $64.67 nationally would. A 24-hour part-time schedule grosses $74,249 per year.
Based on BLS state-level estimates · View source

In 2026, nurse practitioner hourly pay in West Fargo, North Dakota, is projected to be $59.49, considerably lower than the national hourly median of $65.80. This discrepancy presents significant implications for both full-time and part-time practitioners, including those working three days a week in various healthcare settings such as outpatient clinics, urgent care, and telehealth platforms. The hourly pay range in the area is expected to span from $45.98 at the 10th percentile to $78.95 for top earners. Nurse practitioners working on a per-diem basis can expect variability in their earnings depending on the specific employer type and location within West Fargo, but this data reflects the increasing demand for qualified professionals in diverse healthcare environments.
About the West Fargo Market
Salary estimated from North Dakota average ($125,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $45.98 | $367.87 |
| Lower Range (P25) | $52.73 | $421.83 |
| Median (P50) | $59.49 | $475.95 |
| Upper Range (P75) | $68.03 | $544.23 |
| Top Earners (P90) | $78.95 | $631.62 |
Estimated Annual Income by Work Schedule in West Fargo
Based on $59.49/hr median hourly rate · 2026 est.
At $59.49/hr, a nurse practitioner working full-time (40 hr/wk) in West Fargo, ND can expect to earn approximately $123,748 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $71,393. With a cost-of-living index of 92.00 (below the national average), these earnings stretch further in West Fargo.
Hourly Rate Calculator
Schedule Comparison in West Fargo
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,379.76 | $10,312 | $123,748 |
| Part-Time (24 hrs) | $1,427.86 | $6,187 | $74,249 |
| Per Diem (16 hrs) | $951.91 | $4,125 | $49,499 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (West Fargo) | $59.49 |
| Registered Nurse (National Avg) | $42.80 |
| Physician Assistant (National Avg) | $63.20 |
| Nurse Anesthetist (National Avg) | $103.40 |
| Nurse Midwife (National Avg) | $63.85 |
Nurse Practitioners in West Fargo, ND earn a median of $123,745 per year (2026 est.), which is 9.59% lower than the national median of $136,864 and 1.70% below the North Dakota state average of $125,885.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $59.49/hr = $74,249/year (purchasing power: $80,705).
Working 40h/week (full-time) = $123,748/year (purchasing power: $134,508).
CoL index: 92 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$47.74/hr
2025 BLS Actual
$57.51/hr
2026 Current Est.
$59.49/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in West Fargo (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $47.74/hr | Actual |
| 2020 | $48.55/hr | Actual |
| 2021 | $52.46/hr | Actual |
| 2022 | $52.86/hr | Actual |
| 2023 | $54.88/hr | Actual |
| 2024 | $54.34/hr | Actual |
| 2025 | $57.51/hr | Actual |
| 2026(current) | $59.49/hr | Estimated |
| 2027 | $61.55/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in West Fargo grew 20.5% from $47.74/hr (2019) to $57.51/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $61.55/hr by 2027. Part-time and per-diem nurse practitioners can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the West Fargo metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.45% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Nurse Practitioner in West Fargo
Earnings potential for part-time nurse practitioners in West Fargo becomes apparent when considering that a typical 3-day work week (24 hours) results in an annual income below what their full-time colleagues earn. Those who take on per diem roles can thrive financially, particularly in high-demand specialties, with locum tenens NPs billing using rates from $80 to $140 per hour and PMHNPs in telehealth fetching up to $200 for asynchronous medication management. Different employers, such as retail clinics and hospital systems, can offer varied compensation structures influenced by the benefits package included. Some practitioners may opt for positions with lower hourly rates that come with health insurance and job security, while others might prioritize higher pay without benefits. Negotiating for the desired hourly rate in West Fargo requires understanding the local market and recognizing specific employer needs, especially given that compensation can differ considerably among community outpatient services, specialty clinics, and locum agencies.
More salary data for West Fargo, ND:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in West Fargo in 2026?
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Written by Maria Gonzalez, MSN, NP-C
Career Analyst
Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 3.45% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for nurse practitioners in West Fargo. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for West Fargo is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.45%, derived from historical BLS wage trends for nurse practitioners (SOC 29-1171).
Compiled and verified by Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov